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Side Effects of Qsymia for Weight Loss The most common side effects, reported by 5% or more of patients, include: Paresthesia (tingling in hands, feet, or face), reported by about 20% of patients Dry mouth Insomnia , especially if taken later in the day Dizziness Constipation Taste changes , particularly with carbonated drinks Mood changes , including irritability or low mood Difficulty concentrating or brain fog with higher doses of topiramate Less common but more serious risks include: Increased heart rate Acute glaucoma (rare, but requires immediate discontinuation) Kidney stones Birth defects (Qsymia is in a Risk Evaluation and Mitigation Strategy or REMS program, due to teratogenicity risk) Qsymia should not be used during pregnancy, in patients with glaucoma, hyperthyroidism or those taking MAOIs
Typical results fall within the 8- to 15-pound range, with a firmer waistline and improved body composition
Adequate response: 5% or greater total body weight loss at 12 to 16 weeks on the maximum tolerated dose Excellent response: 10% or greater total body weight loss Inadequate response: Less than 5% weight loss after 16 weeks on the maximum tolerated dose warrants reassessment, consideration of medication switch, or evaluation for adherence barriers Where to Get Semaglutide Training for Physicians The growing demand for qualified GLP-1 prescribers has produced numerous semaglutide training for physicians programs